Susys Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28182 Issued in FL

Legal business name

SUSYS PHARMACY INC

Doing business as

Susy's Pharmacy

Practice address

12887 SW 42ND St
Miami, FL 33175-3435

Phone

(786) 431-5766

Fax

(786) 431-5751

NPI assigned

Feb 20, 2015

Last updated

Feb 15, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Oluronke Olufidipe

Title

Pharmacy Manager

Phone

(786) 431-5766

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susy's Pharmacy Doing business as

Tax ID family

Susy's Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Susy's Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1396157897
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1740672278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12887 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753435",
            "telephone_number": "786-431-5766",
            "fax_number": "786-431-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12887 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753435",
            "telephone_number": "786-431-5766",
            "fax_number": "786-431-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "OLUFIDIPE",
        "authorized_official_first_name": "OLURONKE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "786-431-5766"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susy's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Steven Sussman, M.D.
• Todd Jason Sussman, D.C.
• Jeffrey Brett Sussmane, MD
• Sustaining Hope Center Inc
• Susy's Pharmacy, Inc.
• Adi Suta, DMD
• Maegan Suthard
• Kyle Joseph Sutherland, MD
• Shanique Sandy Sutherland, LMT
• Sunil Chandra Sutradhar

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.